<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset={dede:global.cfg_soft_lang/}" />
<title>{dede:field.title/}_{dede:global.cfg_webname/}</title>
<meta name="description" content="{dede:field name='description' function='html2text(@me)'/}" />
<meta name="keywords" content="{dede:field name='keywords'/}" />
</head>
<body class="index">
{dede:include filename="head.htm"/}
<!-- /header -->
<section>
  <div class="about_bg">
       <img src="{dede:global.cfg_templets_skin/}/images/introduction/nav.png">
  </div>
  <div class="bread_nav">
    <p>网上预约</p>
  </div>
  <div class="content">
    {dede:include filename="service_nav.htm" /}
    <div class="content_right">
      <div class="title">
        <h3>网上预约</h3>
        <span></span>
        <p>Online Booking</p>
      </div>
      <div class="text">
          <div class="online_form">
            <form class="appoint-form" action="/plus/diy.php" enctype="multipart/form-data" method="post">
              <input type="hidden" name="action" value="post">
              <input type="hidden" name="diyid" value="2">
              <input type="hidden" name="do" value="2">
              <p>欢迎您在网上预约申请，我们会及时与您联系！</p>
              <div class="item_online">
                <label for="name">客户姓名</label>
                <input type="text" name="name" id="name">
                <span>*</span>
              </div>
              <div class="item_online">
                <label for="product">认购产品</label>
                <input type="text" name="product" id="product">
                <span>*</span>
              </div>
              <div class="item_online">
                <label for="money" class="label">认购金额</label>
                <div class="div_money">
                  <input type="text" name="money" id="money">
                  <span>万元</span>
                </div>
                <span>*</span>
              </div>
              <div class="item_online">
                <label for="phone">联系电话</label>
                <input type="text" name="phone" id="phone">
                <span>* 请预留手机号码，以便我们使用短信平台为您服务</span>
              </div>
              <div class="item_online">
                <label for="address">联系地址</label>
                <input type="text" name="address" id="address">
                <span>请尽量详细，我们将按此地址为您邮寄相关资料</span>
              </div>
              <div class="item_online">
                <label for="email">电子邮箱</label>
                <input type="text" name="email" id="email">
                <span></span>
              </div>
              <div class="item_online">
                <label for="message" class="label_msg">留言内容</label>
                <textarea name="content" id="content"></textarea>
              </div>
              <div class="item_online">
                <label for="email">验证码</label>
                <input name="validate" type="text" id="vdcode" style="text-transform:uppercase;width: 150px;" size="8"/> 
                <img id="vdimgck" align="absmiddle" onClick="this.src=this.src+'?'" style="cursor: pointer;    float: none;display: initial;" alt="看不清？点击更换" src="/include/vdimgck.php"/>
              </div>
              <div class="div_app">
                <input type="hidden" name="dede_fields" value="name,text;product,text;money,text;phone,text;address,text;email,text;content,multitext">
                <input type="hidden" name="dede_fieldshash" value="703a4887880b0ee0d53ec37187f0c595">
                <input type="submit" value="我要预约" class="appoint">
              </div>
            </form>
          </div>
        </div>
    </div>
  </div>
</section>
{dede:include filename="footer.htm"/}
<!-- /footer -->
</body>
</html>